Organization
ODANA HILLS DENTAL LLC
Active
Parent organization
STEPPING STONE DENTAL PARTNERS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPPING STONE DENTAL PARTNERS LLC
Authorized official
MS. GENEVIEVE E POPPE (DIRECTOR OF OPERATIONS)
(608) 358-3370
Entity
Organization
Contact information
Practice address
5510 MEDICAL CIR, MADISON, WI 53719-1239
(608) 274-5510
Mailing address
5510 MEDICAL CIR, MADISON, WI 53719-1239
(608) 274-5510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001590-15
WI
1223G0001X
General Practice Dentistry
6297-15
WI
1223G0001X
General Practice Dentistry
6574-15
WI
Other
Enumeration date
04/19/2010
Last updated
12/28/2012
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